A DSM-IV-referenced, adolescent self-report rating scale.

OBJECTIVE To examine the reliability and validity of the Youth's Inventory-4 (YI-4), a DSM-IV-referenced self-report rating scale. METHOD Youths (N = 239) aged between 11 and 18 years who were clinically evaluated between 1996 and 1999 completed the YI-4, and 79% completed at least one additional self-report. Parents and teachers completed a companion measure. A second sample (N = 47) was retested 2 weeks after an initial evaluation. RESULTS The YI-4 demonstrated satisfactory internal consistency (alpha values = .66-.87) and test-retest reliability (r values = 0.54-0.92), convergent and to lesser extent divergent validity with other self-report measures, and discriminant validity by differentiating children with and without diagnosed attention-deficit/hyperactivity disorder, conduct disorder, substance use, generalized anxiety disorder, or major depressive disorder. Youth-parent (r values = 0.05-0.50) and youth-teacher (r values < 0.18) agreement was generally modest. CONCLUSIONS These findings provide preliminary support for the clinical utility of the YI-4 for symptom assessment in referred youths.

[1]  R. Milich,et al.  Hyperactivity, inattention, and aggression in clinical practice , 1982 .

[2]  S. Ilardi,et al.  Validity of the Devereux Scales of Mental Disorders With Adolescent Psychiatric Inpatients , 2000, Journal of clinical child psychology.

[3]  P. Jensen,et al.  Scales, diagnoses, and child psychopathology: I. CBCL and DISC relationships. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[4]  T. Achenbach Manual for the Youth Self-Report and 1991 profile , 1991 .

[5]  M. Gould,et al.  Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample , 1993, Journal of abnormal child psychology.

[6]  D. Shaffer,et al.  NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[7]  W. Reich,et al.  Development of a structured psychiatric interview for children: Agreement between child and parent on individual symptoms , 1982, Journal of abnormal child psychology.

[8]  J J Bartko,et al.  Diagnosing diagnoses. Receiver operating characteristic methods and psychiatry. , 1989, Archives of general psychiatry.

[9]  T. Achenbach,et al.  Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. , 1987, Psychological bulletin.

[10]  N. Ryan,et al.  Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[11]  K. Gadow,et al.  Teacher reports of DSM-IV ADHD, ODD, and CD symptoms in schoolchildren. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[12]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[13]  J. McClellan,et al.  Introduction--research psychiatric diagnostic interviews for children and adolescents. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[14]  Joseph Biederman,et al.  Diagnostic accuracy of the Child Behavior Checklist scales for attention-deficit hyperactivity disorder: a receiver-operating characteristic analysis. , 1994, Journal of consulting and clinical psychology.

[15]  P. Szatmari,et al.  Evaluation of the diagnostic interview for children and adolescents for use in general population samples , 1993, Journal of abnormal child psychology.

[16]  G. Canino,et al.  Parent and child contributions to diagnosis of mental disorder: are both informants always necessary? , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[17]  W. Reich Diagnostic interview for children and adolescents (DICA) , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[18]  P. Lewinsohn,et al.  Correspondence between adolescent report and parent report of psychiatric diagnostic data. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[19]  S. R. Weinstein,et al.  Convergence of DSM-III diagnoses and self-reported symptoms in child and adolescent inpatients. , 1990, Journal of the American Academy of Child and Adolescent Psychiatry.

[20]  P. Shrout,et al.  Psychometric properties of parents and children as informants in child psychiatry epidemiology with the Spanish diagnostic interview schedule for children (DISC.2) , 1994, Journal of abnormal child psychology.

[21]  A. M. Cauce,et al.  Predicting DSM-III-R disorders from the Youth Self-Report: analysis of data from a field study. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  R. J. Thompson,et al.  Internal consistency of DSM-III diagnoses using the symptom scales of the Child Assessment Schedule. , 1990, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  M. Fristad,et al.  Children's Interview for Psychiatric Syndromes (ChIPS). , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[24]  W. Reich,et al.  Reliability, validity, and parent-child agreement studies of the Diagnostic Interview for Children and Adolescents (DICA). , 1987, Journal of the American Academy of Child and Adolescent Psychiatry.

[25]  J. Losilla,et al.  Diagnostic agreement between clinicians and the Diagnostic Interview for Children and Adolescents--DICA-R--in an outpatient sample. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[26]  G. Canino,et al.  Criterion validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3). , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[27]  M. Davies,et al.  The Diagnostic Interview Schedule for Children-Revised Version (DISC-R): III. Concurrent criterion validity. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[28]  T. Achenbach,et al.  Manual for the Teacher's Report Form and 1991 Profile , 1991 .

[29]  P. Szatmari,et al.  Evaluation of the revised Ontario Child Health Study scales. , 1993, Journal of child psychology and psychiatry, and allied disciplines.

[30]  T. Achenbach Manual for the child behavior checklist/4-18 and 1991 profile , 1991 .